Dr Antonio Acosta-b Mataban, MD is a
Urology physician based in Clarksburg, West Virginia. Dr Antonio Acosta-b Mataban is licensed to practice in West Virginia (license number 20628) and his current practice location is 1medical Center Drive, Clarksburg, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 842-0422.
NPI number for Dr Antonio Acosta-b Mataban is 1154439289 and his current mailing address is 1medical Center Drive, Clarksburg, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154439289.
Physician's Profile
| Full Name | Dr Antonio Acosta-b Mataban |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 1medical Center Drive, Clarksburg, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154439289
- Provider Enumeration Date: 08/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Antonio Acosta-b Mataban such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154439289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 20628 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Antonio Acosta-b Mataban is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Antonio Acosta-b Mataban, MD
1medical Center Drive,
Clarksburg, WV 26331
Ph: (304) 842-0422 | Dr Antonio Acosta-b Mataban, MD
1medical Center Drive,
Clarksburg, WV 26301
Ph: (304) 842-0422 |
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